17D2194283 CLIA NUMBER - PRAIRIE WIND HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 17D2194283
  • Facility Name: PRAIRIE WIND HOSPICE, LLC
  • Facility Address: 606 HIGH ST
    BALDWIN CITY, KS
    ZIP 66006
  • Facility Phone: 785 202-8900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BILL BARKEMEYER
  • NPI Number: 1073149217
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D2194283
LAB Type Hospice
Facility Name PRAIRIE WIND HOSPICE, LLC
Street 606 HIGH ST
City BALDWIN CITY
State KS
ZIP 66006
Phone 785 202-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Hospice
Lab Director BILL BARKEMEYER

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This page was last updated on: 9/29/2025